PMID- 20884008 OWN - NLM STAT- MEDLINE DCOM- 20110405 LR - 20110214 IS - 1097-6833 (Electronic) IS - 0022-3476 (Linking) VI - 158 IP - 3 DP - 2011 Mar TI - Six-minute walk distance in overweight children and adolescents: effects of a weight-reducing program. PG - 447-51 LID - 10.1016/j.jpeds.2010.08.020 [doi] AB - OBJECTIVE: To assess the significance of consecutive six-minute walk tests (6MWTs) during a weight reduction program. STUDY DESIGN: Overweight children and adolescents (n = 113; mean +/- standard deviation age, 12.9 +/- 2.0 years; 64 girls) performed a standardized 6MWT at the beginning and end of an in-patient weight reduction program consisting of exercise, diet, and educational and psychological support. Their 6-minute walk distance (6MWD) was compared with age- and sex-matched normal-weight children (n = 353). RESULTS: Preintervention 6MWD averaged 93% of control subjects (631 +/- 88 m versus 675 +/- 70 m, P < .001) and increased significantly to 667 +/- 90 m (P < .001) after 27 +/- 7 days of intervention (99% of control subjects; P = .260). Participants reduced their body weight from 80.9 +/- 19.8 kg to 75.6 +/- 19.0 kg, body mass index (BMI) percentile from 98.2 +/- 2.1% to 96.8 +/- 3.8%, and BMI-standard deviation score from 2.37 +/- 0.6 to 2.13 +/- 0.6 (P < .001 for each variable). BMI-standard deviation score, height, and the change in heart rate during the 6MWT were significant independent predictors of the 6MWD at preintervention and at post intervention time points (P < .001 each). CONCLUSIONS: The 6MWD increases during a weight reduction program, indicating improvement of physical fitness and decreased metabolic demand during daily activities in overweight children. The 6MWT represents a practical and reliable assessment tool for exercise performance in overweight children and adolescents. CI - Copyright (c) 2011 Mosby, Inc. All rights reserved. FAU - Geiger, Ralf AU - Geiger R AD - Department of Pediatrics, Clinical Divisions of Cardiology, Pulmology, Allergology, and Cystic Fibrosis, Innsbruck Medical University, Innsbruck, Austria. ralf.geiger@i-med.ac.at FAU - Willeit, Julia AU - Willeit J FAU - Rummel, Meike AU - Rummel M FAU - Hogler, Wolfgang AU - Hogler W FAU - Stubing, Kurt AU - Stubing K FAU - Strasak, Alexander AU - Strasak A FAU - Geiger, Harald AU - Geiger H FAU - Stein, Joerg I AU - Stein JI FAU - Rauchenzauner, Markus AU - Rauchenzauner M LA - eng PT - Journal Article PL - United States TA - J Pediatr JT - The Journal of pediatrics JID - 0375410 SB - IM MH - Adolescent MH - Case-Control Studies MH - Child MH - Cross-Sectional Studies MH - *Exercise Test MH - Female MH - Germany MH - Heart Rate MH - Humans MH - Longitudinal Studies MH - Male MH - Multivariate Analysis MH - Overweight/*therapy MH - Physical Fitness MH - Regression Analysis MH - Reproducibility of Results MH - *Walking MH - *Weight Loss EDAT- 2010/10/05 06:00 MHDA- 2011/04/06 06:00 CRDT- 2010/10/02 06:00 PHST- 2010/03/21 00:00 [received] PHST- 2010/07/12 00:00 [revised] PHST- 2010/08/17 00:00 [accepted] PHST- 2010/10/02 06:00 [entrez] PHST- 2010/10/05 06:00 [pubmed] PHST- 2011/04/06 06:00 [medline] AID - S0022-3476(10)00689-X [pii] AID - 10.1016/j.jpeds.2010.08.020 [doi] PST - ppublish SO - J Pediatr. 2011 Mar;158(3):447-51. doi: 10.1016/j.jpeds.2010.08.020.